This 72YO male presented with acute superior field loss from an acute branch retinal artery occlusion (BRAO) in his right eye.
The causative calcific embolus is seen originally along the inferior optic nerve margin. Three days later, the plaque moved further downstream.
This patient had acute retinal ischemia (defined as acute BRAO, central retinal artery occlusion, or transient monocular vision loss), and was immediately referred to the nearest stroke center, which is the standard of care.
